우하복부 통증으로 내원한 그물막 경색증 1례A Case of Omental Infarct with RightLower Quadrant Pain
- Authors
- 오제혁; 장종하; 민현석; 이상진; 김성은
- Issue Date
- 2007
- Publisher
- 대한응급의학회
- Keywords
- Omentum; Infarction; Abdominal Pain
- Citation
- 대한응급의학회지, v.18, no.2, pp 173 - 175
- Pages
- 3
- Journal Title
- 대한응급의학회지
- Volume
- 18
- Number
- 2
- Start Page
- 173
- End Page
- 175
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/30111
- ISSN
- 1226-4334
- Abstract
- A 56-year-old man was transferred to the emergency
department complaining of right lower quadrant pain of 3
days duration. The Maximal tender area was the slightly
upper part of the abdomen up to McBurney’s point. We
ordered CT to evaluate for several disease such as appendicitis,
diverticulitis and primary epiploic appendagitis, and
the patient was diagnosed with omental infarct based on
the CT finding. After five days of supportive care, the symptoms
were resolved.
Omental infarct is a rare cause of acute abdominal pain,
which is often misdiagnosed as acute appendicitis when it
presents with right lower quadrant pain. Although surgical
resection is required in severe cases, most cases are successfully
managed with supportive treatment. The emergency
physician should consider omental infarct as a differential
diagnosis in patients with right lower quadrant pain.
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